Multiple clinical trials evaluate the therapeutic potential of Ademetionine across diverse indications, prominently including hepatic and metabolic disorders—such as chronic hepatitis B with cholestasis, drug-induced liver injury, and nonalcoholic fatty liver disease—alongside major depressive disorder, esophageal squamous cell carcinoma, and muscle injury. Ranging from early Phase 1/2 evaluations to Phase 4 post-marketing studies and observational protocols, these investigations are supported by academic centers, hospital networks, and commercial sponsors. Recruitment statuses across these trials vary, encompassing active recruitment, completed studies, and withdrawn protocols.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT07367724 | RECRUITING | Obstructive Hypertrophic Cardiomyopathy (oHCM) |
China National Center for Cardiovascular Diseases |
2026-01-01 | PHASE2 |
| NCT06922669 | RECRUITING | Drug Induced Liver Injury |
General Hospital of Shenyang Military Region |
2025-06-24 | |
| NCT07068191 | RECRUITING | Metabolic Dysfunction-associated Fatty Liver Disease (MAFLD); Hepatomegaly; Nonalcoholic Fatty Liver (NAFL); Nonalcoholic Fatty Liver Disease (NAFLD); Fatty Liver; Fatty Liver, Alcoholic; Fatty Liver, Nonalcoholic; Fatty Liver Disease |
Phenomen Pharma |
2025-06-19 | |
| NCT05312372 | Withdrawn | Esophageal Squamous Cell Carcinoma |
Institut de Recherches Internationales Servier|ADIR a Servier Group company|Servier |
2025-05 | Phase 1|Phase 2 |
| NCT05775718 | Recruiting | Bone Marrow Transplant|Stem Cell Transplant |
University of Colorado Denver|GlaxoSmithKline |
2024-12-01 | Phase 2 |
| NCT05279196 | Not yet recruiting | Muscle Injury |
University Hospital Montpellier |
2024-09 | Not Applicable |
| NCT06309173 | Not yet recruiting | Multiple Sclerosis |
University Hospital Basel Switzerland |
2024-09 | -- |
| NCT06251999 | Not yet recruiting | Elderly Patients |
Shanghai 6th People''s Hospital |
2024-08-01 | Phase 4 |
| NCT06280742 | Not yet recruiting | Multiple Sclerosis |
Assistance Publique - Hôpitaux de Paris |
2024-07-01 | Not Applicable |
| NCT01998620 | UNKNOWN | Hepatitis B; Cholestasis |
Zhejiang Hisun Pharmaceutical Co. Ltd. |
2013-11 | PHASE4 |
| NCT02200029 | COMPLETED | Intrahepatic Cholestasis Associated With Alcoholic Liver Disease |
Abbott |
2014-06 | PHASE3 |
| NCT04623034 | COMPLETED | Major Depressive Disorder |
MSI Methylation Sciences, Inc. |
2013-04-17 | PHASE1 |
(data from https://clinicaltrials.gov, updated on 2026-03-20)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).
- Ademetionine (S-Adenosylmethionine) Solubility in DMSO
- Ademetionine (S-Adenosylmethionine) Storage
- Ademetionine (S-Adenosylmethionine) Stability
- Ademetionine (S-Adenosylmethionine) Molecular Weight
- Ademetionine (S-Adenosylmethionine) SMILES
- Ademetionine (S-Adenosylmethionine) CAS Number
- Ademetionine (S-Adenosylmethionine) Chemical Structure (2D and 3D)
- Ademetionine (S-Adenosylmethionine) SDS|MSDS